The URL can be used to link to this page

Home My WebLink About15940-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate 01: Occupancy No Z]63]9 Date October 21,1987 THIS CERTIFIES that the bufldmg .. A,I.~ e r a t.~. q .n ................ LocatlonofProperty, 2025 North Sea Drive 0rzent , H~,~ ~o ............ 's'~'~i ................. hi, ml'~i. County Tax Map No 1000 Section 54 ..... Block .4 .......... Lot 2 I Subdivision ........ ....... Fried Map No ....... Lot No ............ conforms substantially to the Apphcat~on for Building Permit heretofore filed ~n tins office dated ..... A. pr.i.1..!.6.,. !.987 pursuant to winch Bmldmg eermit No. .1.5. .9.4.0.Z. .......... dated k p y i l 2'7, J .9.87. was ~ssued, and conforms to all of the reqmrements of the apphcable provisions of the law Tile occupancy for winch this certificate ~s assued ~s .. · . .A. lter .e.xi.s. tin.g.o.n.e fa.mi.l.y dw.ell, zn.g...a.s .a.p.p.l~.e.d..fp.r.: .......... The certificate m msu~d to ... LOUI ~ MASTRO "' ?o~.e;.'&~g,~f×X ........ of the aforesmd bmldmg. Suffolk County Depa. rtment of Health Approval . N/.A. ................. UNDERWRITERS C~RTIFICATE NO ....... N/.A. .......................... PLUMBERS CERTIFICATION DATED: N/A Burid~ng Inspector Rev 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~5940 Z Permission is hereby granted to: , -~-~-~.'-~.-.'.. .............................................. I ,~__1.,,,- ~ I1~1 ,o ........ County Tax Map No 1000 Section ..... .~..~;'..~ ....... Block ...... ..~....~. ........ Lot No ...."~...~. .......... Building Inspector. Rev 6/30/80 TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL 765-1802 To Who~ This May Concern, W~ are unable to complete your Certificate of OccUpancy because of the following reasons. An application for Certificate of Occupancy is not on file. ~ /Z/ NO Underwritars Certificate on file. /_~ The check is(outdated/not on file~ $~ /~/ No Health Dept. Approval on file. /5/ N~ final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permi% ~ / _~ ~ .~. ~ Z c~/~ BuildiDg Dept. ***/5/ No Plumber Solder Certificate on file. i( all permits ~nvol¥ing plumbing being th~s matter as soo~ Certificate as possible issued after April 1,1984 Oclcupancy or use ~s unlawful wzthout of Occupancy. Clear up legal action does not have [o be Thlank you for your prompt attention. so that OU~;DA TI O.U ( 1 s t ) OUNDATION (2nd) OUGH FRAME & FLUMBING NSULATION FERN. STATE ENERGY CODE ADDITIOn;AL CO~ME~TS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~/FINAL REMARKS: DATE INSPECTOR /~//~?~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO 1 SURVEY TOWNOFSOUTHOLD CNECE :'./-~t3rJ~O'tl'~....o BUILDING DEPARTMENT SEPTIC FORM ............. ; TOWN HALL SOUTHOLD, N Y. 11971 TEL.. 765-1803 Exam, ' 2..7 Approv~l---/~ ,~,~.'7 19~VPermltNo/ Disapproved a/c . NOTIFY MATL TO: .....' ~ ~ TowNBLDG'oF SOU~OLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ., 19 INSTRUCTIONS a TIus application must be comI~ fill~liAn by tgl~ewnter or In ink and submitted to the Bmldmg Inspector, wit sets of plans, accurate plot plan tl~al~~ffn~.,~edule b. Plot pl~ showing Ioc~ l~/&~6n premises, relatmnsh~p to adjmmng premmes or pubhc st~ or areas, and gwmga de~~~X~¥roperty must be drown on the dmg~ which ~s pa~ of thru ap c. ~e work~y~ ~c~~t be commenced before zssu~ce of Buddm~ Permit d. Uponap~~h~o~%~Inspectorwd],ssuedaBuddm~Pe~zttotheapphcant Suchpm shall b~ kept on the ~ a~~~rou~out the e No building ~e~~ whole or zn p~t for any purpose whatever until a Ce2fficate of Occupa shall have been grante~~ctor APPLICATION IS H~y~E to ~e Building Dep~tment for the msuance of a Bml&ng Pem~t pursuant to Bmld~ng Zone Ordxnance o~ Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~ce Regulahons, for the constm~on of buildings, addmons or alteratmns, or for removal or demohtmn, as hereto descnk The apphcant agrees to compl~ w~th all apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized mspectom on ~rem~ses and ~n bufldmg for necessaw ~nspect~o~ (Madlng ~reks offapph~ant) ...... State whether applicant is owner, lessee, agent, architect, engineer, general contractor., electmczan, plumber or built Name of owner of premmes ~z~'v.Z..& /[~ .~Z~----zo>. ....... (as on the tax roll or latest deed)., .J~,W. ~I'L71 If apphcant ~s a corporation, mgnature of duly authomzed officer ! (Name and title of cprporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .7 f~/' ~// Plumber's License No i ' Electmman's License No ,. Other Trade's License No. Location of land on xvtuch proposed work will be done Itouse Number County Tax Map No ~000 Section ~ '~ ~ Sub&wsmn [ (Name) NOTIFY gL}tLDIN;~ DEPARTMENT . · er> 1qo2 9 ~M ro 4 PM i:OR TI ~ OLtOW NG ~NSPSC~ONS: FOkJ~r~U~ ~O ~FQUIRED ,~O',~Gt~ ~qAMIN~ & PLUMBING Street Hamlet Block '(~2 V' Lot c~ Filed Map No .. Lot State ex~stmg use and occuDancy of premises and intended use and occupancy of proposed construction b Intended use and occupancy 3. Nature of work (check which applicable) New Bmlding Repair .... R~moval .. . 4. Estimated Cost . .~} 5 If dwelhng, number of dwelhng umts If garage, number of cars . Addition ......... Alteration Demoht~on ......... Other Work (Description) (to be paid on filing th~s application) · . Number ofdwelhng umts on each floor .......... 6. If bus~ness, commercial or mixed occupancy, spec;fy nature and extent of each type of use ............... 7. D~mens~onsofexistlngstruc~,ures,~fany Front . ~ ¢* .... Rear --.~. ,N' .... Depth .2 p~ .... Height . -5 L/.. Number of Stones ,/ ........................... D~rnenmons o~l~s~e w~th alteratmns or addmons Front .. ~,'. ~ ...... Rear . ~. ~. ....... Depth .....~[~, . , .' "'~'... Height . .~_¢ )/ ..... Number of Stones .. / ......... 8. Dunensmns o~en~re ne~ constructmn Front . ~ ~ . .. Rear .. ~;~.~ .... Depth .~.~,, .. . .e,ght ' %her of Sto es '. .................................... 9 Size of lot / ..... Rear /. ~ > Depth .2~2~...,.~ .,~ 10. Date of Purchase ....... Name of Former Owne~ I 1 Zone or use dxstnct ~n whxch premises are sztuated ........................... 12 Does proposed construction v:olate any zomng law, ordinance or regulatmn .. 13 Will lot be regraded . . .: .......... Will excess fill be removed from premises Yes N, 14 Name of Owner of prem:ses ~ L-~ o ~ ./~, .cf~ Address c~'7~,-~..~.,(,~j:. Phone No ............ Name of Archxtect ............... Address .......... Phone No ....... Name of Contractor ~. o:y- .,£'7'7.~.~ .. Address T-ir3~':~'.~ ... Phone No ?.+ .~. :.'~ .4 .o~,. 15. Is this property located w~th~n 300 feet of ~ tidal~wetl~a~d? *Yes ..... No ..... *If yes, Southold Town Trustees Permit ma b~equ~re~. ~ ~ PL~)Yr DIP29R.AM' . Locate clearly and dmt~nctly all bmldmgs, whether exxst~ng o:rj>ro, posed~a~¢, :~nd:ca~te all set-back dxrnensmns fron property hnes G~ve street and block number or description accordm~¢(deed, ahd,lrc~.W st?ee~ names and ~ndxcate whethe STATE OF NEW YORK, SS /1/'D/ f~'/' :~'* COUNTY OF ........ )~ o.~/ .~)-~.z~,.e)-~ . . ~ .. beingduly (Name' of md~wdual s~'mng contract) above named sworn,"fieposes and says that he ~s the apphcan (Contractor, agent, corporate officer, etc ) of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file th~ apphcat:on, that all statements contmned m thru apphcatmn are true to the best ofhts knowledge and belief, and that th, work wdl be performed m the manner set forth m the apphcatmn filed therewith Sworn to before me tlns ..... [7' ->- . de'of .~ ..... 19g>~